高校男性体质量超标肥胖及相关疾病分析

Analysis of overweight and obesity and their correlated chronic diseases in university male staff

目的探讨高校男性体质量超标、肥胖与高血压、高血糖、高血脂、高尿酸血症、脂肪肝相关慢性病的关系。方法 1 006名男性按体质量指数(BMI)分组,分析体质量超标、肥胖与血压、血脂、血糖、血尿酸、脂肪肝及相关慢性病患病率的关系。结果 (1)随年龄增加,体质量超标率增高(P<0.01)。(2)体质量超标组、肥胖组SBP、DBP、TG、TC、UA高于正常组、HDL-C低于正常组(P<0.01),2组高血压、高血脂、高尿酸血症及脂肪肝患病率明显高于正常组(P<0.01);肥胖组SBP、DBP、TG、UA高于体质量超标组(P<0.05),其高血压、脂肪肝患病率高于体质量超标组(P<0.01)。(3)BMI指数增加,3项以上危险因素增加,差异有统计学意义(P<0.01)。结论健康体检人群体质量超标、肥胖率较高,体质量超标、肥胖为相关危险因素聚集的标志;控制体质量,干预靶点前移,可降低相关慢性病患病率,是防治代谢综合征的关键。

Objective To explore the relationship between overweight or obesity and related chronic diseases, such as hypertension, hyperglycemia, hyperlipidemia, hyperlipidemia, and fatty liver in the male of university staff. Methods A total of 1 006 male persons of university staff performed the medical examination. They were divided into several groups according to body mass index （BMI）. The relationship between overweight or obesity and blood pressure, blood glucose, blood lipids, blood uric acid and the prevalence of their correlated chronic diseases was analyzed. Results （1） The prevalence rates of overweight increased with the increase of age（P 〈 0.01）. （ 2 ）SBP,DBP, TG, TC, and UA were higher in the overweight group or obesity group than those in the normal weight group, but HDL-C was lower（P 〈 0.01）. The prevalence rates of hypertension, hyperlipidemia, hyperuricemia and fatty liver were higher in both overweight group and obesity group than those in the normal weight group （ P 〈 0.01 ）. SBP, DBP, TG, and U A in the obesity group were higher than those in the overweight group （P 〈 0.05）. The prevalence rates of hypertension and fatty liver in the obesity group were higher than those in the overweight group （ P 〈 0.01 ）, but FPG, LDL-C had no statistically significant difference among the three groups （ P 〉 0.05）. （3） More than 3 of risk factors were statistically significant with the increase of BMI（P 〈 0.01）. Condusions The prevalence of overweight and obesity is high in the male with medical examination. Overweight and obesity are risk factors. Weight controlling can reduce related chronic diseases and is the key of the prevention and treatment of metabolic syndrome.